Pestana-Oliveira Nayara, Carolino Ruither O G, Kalil-Cutti Bruna, Leite Cristiane M, Dalpogeto Litamara C, De Paula Bruna Balbino, Collister John P, Anselmo-Franci Janete
Department of Veterinary and Biomedical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, USA.
Department of Physiology, School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Bio Protoc. 2021 Apr 20;11(8):e3994. doi: 10.21769/BioProtoc.3994.
Women are born with an abundant but finite pool of ovarian follicles, which naturally and progressively decreased during their reproductive years until menstrual periods stop permanently (menopause). Perimenopause represents the transition from reproductive to non-reproductive life. It is usually characterized by neuroendocrine, metabolic and behavioral changes, which result from a follicular depletion and reduced number of ovarian follicles. During this period, around 45-50 years old, women are more likely to express mood disorders, anxiety, irritability and vasomotor symptoms. The current animal models of reproductive aging do not successfully replicate human perimenopause and the gradual changes that occur in this phase. While the traditional rat model of menopause involves ovariectomy or surgical menopause consisting of the rapid and definitive removal of the ovaries resulting in a complete loss of all ovarian hormones, natural or transitional menopause is achieved by the selective loss of ovarian follicles (perimenopause period). However, the natural aging rodent (around 18-24 months) model fails to reach very low estrogen concentrations and overlaps the processes of somatic and reproductive aging. The chronic exposure of young rodents to 4-vinylcyclohexene diepoxide (VCD) is a well-established experimental model for perimenopause and menopause studies. VCD induces loss of ovarian small follicles (primary and primordial) in mice and rats by accelerating the natural process of atresia (apoptosis). The VCD, ovary-intact or accelerated ovarian failure (AOF) model is the experimental model that most closely matches natural human progression to menopause mimicking both hormonal and behavioral changes typically manifested by women in perimenopause. Graphical abstract: (A). The mechanisms involved in this control are extremely complex and have not yet been fully clarified. In female mammals whose ovulation (the most important event in a reproductive cycle) occurs spontaneously, reproductive success is achieved through the precise functional and temporal integration of the hypothalamus-pituitary-ovary (HPO) axis. (B). In women, loss of fertility appears to be primarily associated with exhaustion of ovarian follicles, and this process occurs progressively until complete follicular exhaustion marked by the final menstrual period (FMP). (C). While in female rodents, reproductive aging seems to begin as a neuroendocrine process, in which changes in hypothalamic/pituitary function appear independently of follicular atresia. The traditional rat model of menopause, ovariectomy or surgical menopause consists of the rapid and definitive removal of the ovaries resulting in a complete loss of all ovarian hormones. (D). The chronic exposure (15-30 days) to the chemical compound 4-vinylcyclehexene diepoxide (VCD) in young rodents accelerates gradual failure of ovarian function by progressive depletion of primordial and primary follicles, but retains residual ovarian tissue before brain alterations that occurs in women in perimenopause. Low doses of VCD cause the selective destruction of the small preantral follicles of the ovary without affecting other peripheral tissues.
女性出生时卵巢卵泡数量丰富但有限,在其生育期会自然且逐渐减少,直至月经永久停止(绝经)。围绝经期代表从生殖生活向非生殖生活的过渡。它通常以神经内分泌、代谢和行为变化为特征,这些变化是由卵泡耗竭和卵巢卵泡数量减少引起的。在此期间,大约45 - 50岁,女性更容易出现情绪障碍、焦虑、易怒和血管舒缩症状。目前的生殖衰老动物模型未能成功复制人类围绝经期以及该阶段发生的渐进性变化。虽然传统的大鼠绝经模型涉及卵巢切除术或手术绝经,即快速且彻底地切除卵巢,导致所有卵巢激素完全丧失,但自然或过渡性绝经是通过卵巢卵泡的选择性丧失(围绝经期)实现的。然而,自然衰老的啮齿动物(约18 - 24个月)模型未能达到非常低的雌激素浓度,且与体细胞和生殖衰老过程重叠。年轻啮齿动物长期暴露于4 - 乙烯基环己烯二环氧化物(VCD)是用于围绝经期和绝经研究的成熟实验模型。VCD通过加速闭锁(凋亡)的自然过程诱导小鼠和大鼠卵巢小卵泡(初级和原始卵泡)的丧失。VCD完整卵巢或加速卵巢功能衰竭(AOF)模型是最接近人类自然绝经进程的实验模型,模拟了女性围绝经期典型表现的激素和行为变化。图形摘要:(A)。参与这种控制的机制极其复杂,尚未完全阐明。在排卵(生殖周期中最重要的事件)自发发生的雌性哺乳动物中,通过下丘脑 - 垂体 - 卵巢(HPO)轴精确的功能和时间整合实现生殖成功。(B)。在女性中,生育能力的丧失似乎主要与卵巢卵泡耗竭有关,这个过程会逐渐发生,直到以最后一次月经(FMP)为标志的完全卵泡耗竭。(C)。而在雌性啮齿动物中,生殖衰老似乎始于神经内分泌过程,其中下丘脑/垂体功能的变化独立于卵泡闭锁出现。传统的大鼠绝经模型,卵巢切除术或手术绝经包括快速且彻底地切除卵巢,导致所有卵巢激素完全丧失。(D)。年轻啮齿动物长期暴露(15 - 30天)于化合物4 - 乙烯基环己烯二环氧化物(VCD)会通过原始卵泡和初级卵泡的逐渐耗竭加速卵巢功能的渐进性衰竭,但在围绝经期女性出现脑改变之前保留残余卵巢组织。低剂量的VCD会导致卵巢小窦前卵泡的选择性破坏,而不影响其他外周组织。